Bellini Pietro, Dondi Francesco, Albano Domenico, Bertagna Francesco
Departement of Nuclear Medicine, Spedali Civili di Brescia and Università Degli Studi di Brescia, Brescia, Italy.
Indian J Nucl Med. 2022 Jul-Sep;37(3):259-260. doi: 10.4103/ijnm.ijnm_197_21. Epub 2022 Nov 2.
Hemangioblastomas are rare vascular tumors of the central nervous system usually related to other pathological conditions, such as Von Hippel Lindau Syndrome (VHLS) and polycythemia. We describe a case of a 65-year-old man with a neuroendocrine tumor of the ileum presenting with cervical pain who underwent a Ga-DOTATOC positron emission tomography/computed tomography (PET/CT) scan that incidentally underlines the presence of hemangioblastoma of the cervical spinal cord. The patient does not have a family history of VHLS nor does he suffer from polycythemia and he is currently waiting for genetic testing. Despite being rare, hemangioblastomas could be possible findings of central nervous system incidentaloma at Ga-DOTATOC PET/CT scan, especially in patients with anamnesis with possible related condition.
血管母细胞瘤是中枢神经系统罕见的血管性肿瘤,通常与其他病理状况相关,如冯·希佩尔-林道综合征(VHLS)和红细胞增多症。我们描述了一例65岁男性,患有回肠神经内分泌肿瘤,表现为颈部疼痛,接受了镓- DOTATOC正电子发射断层扫描/计算机断层扫描(PET/CT),该检查意外发现了颈髓血管母细胞瘤。该患者没有VHLS家族史,也未患红细胞增多症,目前正在等待基因检测。尽管血管母细胞瘤罕见,但在镓- DOTATOC PET/CT扫描中可能是中枢神经系统偶发瘤的发现,尤其是在有相关可能病史的患者中。